JOANNE E KOOISTRA

LONGVIEW, WA
NPI1235363763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WA  LW60084292)
Enumeration Date2009-05-12
Last Update Date2010-04-22
Business Address
-- JOANNE E KOOISTRA
600 BROADWAY ST
LONGVIEW, WA 98632-3256
Phone number: 360-414-2236
Mailing Address
-- JOANNE E KOOISTRA
PO BOX 249
LONGVIEW, WA 98632-7154
Phone number: 360-414-2000